Gemelli, Vincent M.

Gemelli, Vincent M. is an individual health care provider with primary practice located at 1304 Buckley Road Suite 302, Syracuse NY 13212-4318. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gemelli, Vincent M. can be contacted via phone (315) 671-5790.

Contact Information

Primary practice address
1304 Buckley Road Suite 302 Syracuse NY 13212-4318
Phone: (315) 671-5790
Fax: (315) 671-5791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005917 New York

Profile Details

NPI number 1982664876
LBN Legal business name Gemelli, Vincent M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982664876 NPPES
New York MEDICAID 02185188

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